Sexual History Questionnaire

Sexual History

Step 1 of 7

  • Your Life and Sexual History Questionnaire

    This questionnaire will ask you quite a few questions. Some will be general, about your life and you as a person. Others will be directly related to the accusations against you. I’d like you to be as honest as possible in answering these questions. It allows me to complete the most accurate and most helpful assessment. Please don’t be embarrassed. After 30 years of sexual evaluations, I’ve heard anything you might have to share. Let’s start with some background information.
  • Intimate Relationships:

  • If “yes”, describe your first long-term intimate relationship. At the end this section you can describe any current intimate relationship you are in.